Petitpretz P, Salmeron S, Brenot F, Phlippoteau C, Girard P, Simonneau G, Duroux P
Rev Prat. 1989 Jun 8;39(18):1565-9.
Many sampling methods have been proposed to make a bacteriological diagnosis of community-acquired pneumonia. The diagnostic accuracy of these methods depend upon technical constraints which are hardly obtainable in real world situations. In hospitals, close cooperation between clinicians and bacteriologists can help improve the reliability of these techniques, but in current practice the benefits of bacteriological identification often compete with the empirical therapeutic approach. This approach must remain within defined limits, since its uncontrolled widening can lead to major drawbacks. Whenever possible, bacteriological identification of the offending organism must be of concern.
为了对社区获得性肺炎进行细菌学诊断,人们提出了许多采样方法。这些方法的诊断准确性取决于技术限制,而这些限制在现实世界中很难实现。在医院里,临床医生和细菌学家之间的密切合作有助于提高这些技术的可靠性,但在当前的实践中,细菌学鉴定的益处往往与经验性治疗方法相冲突。这种方法必须保持在规定的范围内,因为其无节制的扩大可能会导致严重的弊端。只要有可能,就必须关注对致病微生物进行细菌学鉴定。